Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.34 / $597.12 / $1,117.66	Facility		$448.34	$597.12	$1,117.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $496.69 / $794.49	Professional		$292.00	$496.69	$794.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.66 / $375.43 / $404.58	Professional		$323.66	$375.43	$404.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $345.05 / $567.76	Professional		$157.74	$345.05	$567.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $381.21 / $501.58	Facility		$312.02	$381.21	$501.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.55 / $385.21 / $491.66	Professional		$332.55	$385.21	$491.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $373.66 / $491.67 / $770.28	Facility		$373.66	$491.67	$770.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $247.08 / $374.44 / $565.16	Professional		$247.08	$374.44	$565.16
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $385.21 / $529.09	Professional		$340.89	$385.21	$529.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $312.02 / $312.02	Facility		$312.02	$312.02	$312.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $312.02 / $312.02	Professional		$312.02	$312.02	$312.02